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Conception news

A family medicine physician argues for reproductive justice for people living with HIV. "I have seen women who travel hundreds of miles for their pregnancy care because no provider in their community is comfortable pregnant women with HIV. I have seen patients go out of their way for their medical care because they fear disclosure in their community if they see a provider for their HIV care closer to home."

We're in the middle of a revolution in our efforts to fight HIV. However, you wouldn't know it from a new Centers for Disease Control and Prevention (CDC) report that advises providers about conception when one partner is living with HIV.

A 2013 report by the National Forum of People Living with HIV/AIDS Networks in Uganda (NAFOPHANU) found that at least 11 percent of women living with HIV/AIDS were forcibly sterilized. A 2015 report focusing on such coercion from Uganda-based NGO International Community of Women Living with HIV Eastern Africa (ICWEA) revealed that forced sterilization and coercion — which includes women being given money and misinformation or being intimidated by a health worker — continues in the country.

Misunderstandings
about serodiscordance and limited understanding of female fertility and male
insemination are barriers to couples in serodiscordant partnerships in attempting to
practice safer conception methods, according to

South Africa’s first national HIV stigma index has found that seven percent of HIV-positive women surveyed reported being sterilised against their will and about 40 percent reported contraception was a pre-requisite of accessing antiretrovirals (ARVs).

All Poppy Morgan of San Francisco wanted was to see her husband, Ted, reflected in their child's face. Unfortunately, for many years, this could not be a reality. Ted was HIV positive, and Poppy could not find a way to conceive safely. After many disappointments, including a brief hope for sperm washing that was quickly dashed, Poppy found pre-exposure prophylaxis (PrEP).

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The Community Consensus Statement is a joint initiative of AVAC, EATG, MSMGF, GNP+, HIV i-Base, the International HIV/AIDS Alliance, ITPC and NAM/aidsmap

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This content was checked for accuracy at the time it was written. It may have been superseded by more recent developments. NAM recommends
checking whether this is the most current information when making decisions that may affect your health.

NAM’s information is intended to support, rather than replace, consultation with a healthcare professional. Talk to your doctor or another member
of your healthcare team for advice tailored to your situation.